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This is VAERS ID 356028

Case Details

VAERS ID: 356028 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-08-28
Entered: 2009-08-31
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0858X / 3 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bedridden, Chills, Hyperhidrosis, Nausea, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0906CAN00112

Write-up: Information has been received from a nurse concerning her daughter who was vaccinated with the third dose of GARDASIL (lot # 0858X) expiry 24-JAN-2010. Subsequently, 48 hours after receiving the third dose of GARDASIL, the patient experienced nausea, vomiting, high fever, chills, shaking and sweating. The patient was treated with ADVIL and GRAVOL. Additional information has been received on 19-AUG-2009 from the nurse concerning her 16 year old daughter. The patient presented with symptoms 48 hours after receiving the vaccine and the mother thought that the patient had come down with a flu bug (viral). The fever was treated with TYLENOL and ADVIL and the nausea was treated with GRAVOL. The patient kept to only fluids for 4 days and literally did not get out of bed for 4 days. On day 6 the patient was at the worse of her symptoms. The reporter felt that nausea, vomiting, high fever, chills, shaking and sweating were related to GARDASIL. Upon internal review, the patient''s nausea, vomiting, high fever, chills, shaking and sweating were considered to be disabling. No further information is available.


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